Request for advice

If you make a mistake, click here to refresh the page so you can start filling the form out again from the start.

Request for legal advice

Instructions for using the form

Please fill in the information required below. If you are having problems understanding or using the form, please call our Advice Line instead.

When you have filled in all the required information, submit your form by clicking on the "Send" button.

After you have submitted your form, we will contact you using the email address you have provided, to let you know if we are able to provide you with legal advice.

Important message about time limits

The time limit for making some claims involving dismissal can be as short as 21 days. If you wish to lodge a claim, you should make sure you do so within the time limit. If you can’t get legal advice by then, you may wish to see our our fact sheets, information kits and other information resources to help you.

Who we can and can't help

We can only provide advice to Western Australian employees who meet our eligibility criteria.

We can't provide advice to union members or independent contractors.

We can't provide advice in relation to superannuation, tax or workers' compensation.

We can't provide advice where demand for our service exceeds its capacity

I understand and wish to proceed

Privacy statement

It's very important that you read and understand our privacy statement before entering your personal details. If you have any questions on the privacy statement, please call our Advice Line.
Click here to read the privacy statement

I have read and understood the privacy statement

Your details

Surname or family name(required)

Given name (required)

Email address(required)

This is the email we will contact you on, please make sure it is correct.

Your employer's name(required)

Your employer's ABN

Name of any other parties (e.g. other employees you are in conflict with)

NEXT

Personal circumstances

How many of the following apply to you?(required)

I have a disability

I have dependents

I have problems reading or writing English

I am under 21 years of age

I am over 50 years of age

I am an Aboriginal or Torres Strait Islander

I live outside the Perth metropolitan area

I am a trainee or apprentice

Please check the box that applies to you and give further information if required.

Please check the boxes that apply to you and give further information if required.

I have dependents

How many dependents do you have?

I have a disability

What is your disability or disabilities?

I am Aboriginal or Torres Strait Islander

I am under 21 years of age

I am over 50 years of age

I have problems reading or writing English

English is not my first language

I am on a temporary work visa

NEXT

Less than 2

2 or more

Income from a partner

Do you live with a partner who also earns an income?

Yes

No

What was the combined income of you and your partner over the previous 12 months?

0 - $60,000

$60,000 - $100,000

$100,000 - $140,000

$140,000 - $200,000

More than $200,000

NEXT

Combined income

0 - $60,000

Combined income

$60,000 - $100,000

Combined income

$100,000 - $140,000

Combined income

$140,000 - $200,000

Combined income

More than $200,000

Personal income

What was your personal income over the previous 12 months?

0 - $25,000

$25,000 - $50,000

$50,000 - $60,000

$60,000 - $70,000

$70,000 - $80,000

$80,000 - $90,000

$90,000 - $100,000

$100,000 - $150,000

More than $150,000

NEXT

Personal income

What was your personal income over the previous 12 months?

0 - $25,000

$25,000 - $50,000

$50,000 - $60,000

$60,000 - $70,000

$70,000 - $80,000

$80,000 - $90,000

$90,000 - $100,000

$100,000 - $150,000

More than $150,000

NEXT

Income from a partner

Do you live with a partner who also earns an income?

Yes

no

What was the combined income of you and your partner over the previous 12 months?

0 - $60,000

$60,000 - $100,000

$100,00 - $140,000

$140,000 - $200,000

More than $200,000

NEXT

Personal income

What was your personal income over the previous 12 months?

0 - $25,000

$25,000 - $50,000

$50,000 - $60,000

$60,000 - $70,000

$70,000 - $80,000

$80,000 - $90,000

$90,000 - $100,000

$100,000 - $150,000

More than $150,000

NEXT

Personal income

What was your personal income over the previous 12 months?

0 - $25,000

$25,000 - $50,000

$50,000 - $60,000

$60,000 - $70,000

$70,000 - $80,000

$80,000 - $90,000

$90,000 - $100,000

$100,000 - $150,000

More than $150,000

NEXT

Personal income

0 - $25,000

Personal income

$25,000 - $50,000

Personal income

$50,000 - $60,000

Personal income

$60,000 - $70,000

Personal income

$70,000 - $80,000

Personal income

$80,000 - $90,000

Personal income

$90,000 - $100,000

Personal income

$100,000 - $150,000

Personal income

More than $150,000

I declare that everything in this form is true and correct. I have not made a previous application for advice. I understand that it is a criminal offence to gain a benefit through deceit. I understand that I may be asked to provide evidence verifying the information I have provided, and agree to provide such evidence if asked.

I agree with the statement above

Providing false information is not just fraudulent, it also prevents other vulnerable employees from receiving advice, including employees who may be homeless, have several dependents on a single income or who may be victims of human trafficking.

Remember, if you have made a mistake, you can click "start again" at the top of the form to refresh this page and start filling your information out again.

Eligibility

Yes#$%

Eligibility

No!*@&

This field should be left blank

Please wait...

The Employment Law Centre of WA (Inc)

We acknowledge the Australian Aboriginal and Torres Strait Islander peoples as the traditional custodians of the lands where we live, learn and work, and particularly the Whadjuk people of the Noongar Nation, traditional custodians of the land where our office is located. We acknowledge and respect their continuing culture and the contribution they make to the life of this nation, and we pay deep respect to Elders past and present.